Nichols, Kellyrose Mary
Nichols, Kellyrose Mary is an individual health care provider with primary practice located at 8745 Lake Street Rd , Le Roy NY 14482-9344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nichols, Kellyrose Mary can be contacted via phone (585) 768-2620.Contact Information
Primary practice address
8745 Lake Street Rd
Le Roy NY 14482-9344
Phone: (585) 768-2620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 279405 | New York |
Profile Details
| NPI number | 1013274638 |
|---|---|
| LBN Legal business name | Nichols, Kellyrose Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Jun 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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